2024-03-31-accounts - Campden Home Nursing CIO

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CAMPDEN HOME NURSING CIO Report and Accounts 2023-2024 Charity No: 1178423 By your side when you need us most

Who We Are
Message from Our Co-Chairs
CEO’s Welcome
Our People
2023-2024: Serious Illness Support Service and Hospice Care at Home
2023-2024: Bereavement Services
A Day in the Life of a Nurse Co-Ordinator, by Sue Herd
Our Story by Beverly Clough
2023-2024: Fundraising
Marke�ng Communica�ons
2023-2024: Our Charity Shop
Our Charity Shop in Numbers
Moving Forward
Financial Headlines
Financial Statements: Year Ended 31 March 2024

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1. Who We Are

Campden Home Nursing supports 12 surgeries across Gloucestershire, Warwickshire, and Worcestershire, providing free pallia�ve care and holis�c support for those touched by a life- limi�ng illness.

Our Mission

To provide high quality nursing care and emo�onal support, free of charge, to pa�ents within the communi�es we serve, who have life-limi�ng illnesses, and to help them and their families or carers during and a�er these �mes.

Our Vision

‘More pa�ents, more care’

It’s simple…we would like to provide as much care as we can for pa�ents, carers and the bereaved within the annual financial budgets set and geographic boundaries.

Our Values

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2.Message From Our Co-Chairs

2024 has been another year of growth for Campden Home Nursing with an increase in nursing hours and the number of pa�ents being looked a�er both at home and at Jecca’s House.

Ac�vi�es at Jecca’s House have con�nued to be well supported and we have to thank our teams of nurses and volunteers who look a�er pa�ents, carers and their families during and a�er a serious illness.

Dr Irene Henry Sarah Robers

Co-Chair of Trustees Co-Chair of Trustees

Bereavement support takes place in the counselling cabin in the garden, which provides a secure, warm and safe space for healing to con�nue.

provide all the services above is more than £600,000, despite the income from our investments, fundraising and dona�ons, and this deficit cannot con�nue. We are grateful to all who have supported us.

environment and the Trustees would like to thank again the nursing, administra�on, Charity Shop and volunteer teams who con�nue to allow Campden Home Nursing to benefit people from Chipping Campden, Evesham, Broadway, Pershore and surrounding areas.

Dr Irene Henry Sarah Roberts Co-Chair of Trustees Co-Chair of Trustees

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3. CEO’s Welcome

The last year has been a challenging one for most charities and ours was no different. The demand for nursing increased, fundraising was hard and the stock markets uncertain.

Despite the challenges, we had our busiest year on record and increased our Hospice Care at Home nursing hours by 18%. Counselling was similarly up on hours and the newly launched Play Therapy service went from strength to strength and has been an amazing addition to the Charity. We have given 160 hours of therapy to children anticipating bereavement or dealing with their grief.

Helen Makaritis

CEO

We trialled an outreach centre in Evesham but after 6 months this closed as we weren’t getting the footfall in the nearly empty shopping centre. However, seriously ill and bereaved patients were scooped up through this time and continue to come to Jecca’s House having joined the gardening group.

Our Serious Illness Support Service was steady, and we helped 47 patients and carers through their journey since diagnosis.

With the unpredictable stock market and increased costs, we took the decision to focus on fundraising. More specifically, the large legacy we received in 2017 is reducing to fund the annual deficit between costs and income and if we don’t do anything, the Charity will only be sustainable for another seven years. Of course, this is not an option, and so a strategy has been put in place to increase our income through fundraising. Fundraising will remain a key focus for the following years concentrating on increasing regular donors, legacies, and community engagement.

As always, I am immensely proud of the team that makes Campden Home Nursing and the work that we do.

Helen Makaritis CEO

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4. Our People

The Trustee Team and CEO

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5. 2023-2024: Hospice Care at Home Service and Serious Illness Support Service

Nursing services is split into two areas: Serious Illness Support and Hospice Care at Home, offering a holistic journey for patients and carers from diagnosis to remission or end of life.

Serious Illness Support 40 new referrals 3,748 Contacts

Our Serious Illness Support team of four nurses cared for this group of patients, and carers, as well as existing patients. The service is aimed at meeting patients upon diagnosis and supporting them through their journey to remission or sadly to end of life. This service works closely with our Hospice at Home service, providing continuous care.

In 2023 we trialled an in-house Complementary Therapy service with reflexology being offered by one of our registered nurses. The service was much appreciated by the 33 patients that received 145 hours of treatment between them.

Hospice Care at Home

8,909 Total Nursing Hours

Hospice Care at Home remains our core service and we continue to increase patient hours on an annual basis. Our team of 17 registered nurses and five Health Care Assistants (HCAs) are experienced in providing caring and compassionate night sits and respite care, to allow families and loved ones the chance to recharge their batteries and help keep the patient at home surrounded by family and friends.

141 Referrals were made to the service in 2023/24

We cannot express our gratitude for the support, kindness and care that you have shown us and our mum. You are a very special team, and we will never forget your help in our hours of need.

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6. 2023-2024: Bereavement Services

We currently offer teen and adult counselling sessions and Play Therapy for children between 4-13 years. This is one of our core services to help our patients and carers deal with the emotional and psychological feelings in anticipating or dealing with the loss of a loved one.

Play Therapy

209 Play Therapy sessions in 2023-2024

Generously funded by the George Davies Charitable Trust, this service has planted strong foundations in its first year and we will build on this in 2024/25.

Bereavement Counselling

414 Counselling sessions in 2023-2024

All sessions were face to face and carried out on site in our counselling cabin, a haven of peace and tranquillity within our garden.

117 referrals were made to the service. Following completion of the counselling process our clients are then able to access our Bereavement Café and Bereavement Support Group on an ongoing basis.

Our wonderful play therapy room allows children aged 4-13 the opportunity to creatively express their feelings with our highly qualified Play Therapist. We also have a travelling kit so that we can go into schools to offer further support if children can’t get to our hub. All interactions have led to positive results for parents and schools, with all the children showing positive changes in behaviour.

21 children benefited from this service during the reporting period.

My counsellor was nonjudgemental, trustworthy, and kind, offering insightful and useful advice.

The Play Therapy Sessions have benefitted her hugely. We feel like we’ve got our daughter back. She’s become her happy, outgoing self again.

in the life

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7.A Day in the Life of a Nurse Co-Ordinator, by Sue Herd

Sue Herd Nurse Co-ordinator

I have been nursing for 52 years and love my job now as much as when I first started. I have gained a wide range of experience over the years, having worked in South Wales, Cornwall, and Guernsey, learning con�nually.

I have worked for Campden Home Nursing for seven years a�er re�ring as a District Nurse Team Leader.

There are three Nurse Co-ordinators on the Campden Home Nursing team; Esther Newman, Nicki Henderson, and I, who work on a rota basis. Each of us plays a crucial role in helping us to provide con�nuity of care for those approaching the end of their lives.

family will meet.

We will assess, plan, and oversee the pa�ent’s care, whilst they are being supported by Campden Home Nursing.

At the ini�al face to face mee�ng, the Nurse Co-ordinators will assess the pa�ent and family’s short-term and long-term goals. Following this they will co-ordinate and allocate care and resources with the rest of the team, as well as the pa�ent’s GP and/or district nurse specialists and pallia�ve nurses from Worcestershire, Gloucestershire, and Warwickshire. Families can also refer directly. Re-assessments of pa�ents are carried out on a regular basis, constantly evalua�ng and revising care plans of pa�ents.

We manage cases using person and family centred care planning, shared decision making, symptom management, and counselling. O�en, a pa�ent or their family isn’t prepared or ready for this stage of their care so it’s vital that the Nurse Co-ordinator communicates sensi�vely and appropriately.

I also a�end mul�-disciplinary team mee�ngs. Other admin roles also include off duty, Con�nuing Health Care, repor�ng to the Care Quality Commission if a pa�ent dies in service, appraisals of staff; these are all included in the daily ac�vity, as well as promo�ng the Charity as much as possible to all areas.

I love working for Campden Home Nursing and can honestly say it is a privilege to work for the Charity.

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8. My Story, by Beverly Clough

Beverly Clough

Back in 2022 I hosted an event to raise money for Campden Home Nursing. I was aware of some of the work they did and loved that it helped people in the local community. The event raised £3,075.

Little did I know that just 5 months later I would be diagnosed with an incurable brain tumour, and I’d be knocking on the door of Campden Home Nursing for a very different reason.

Living with cancer is sometimes quite lonely and whilst my friends and family have been amazingly supportive, I’m aware that they need their own support and can’t take on the full burden of my needs. Having someone who can provide professional and independent support is so important. Campden Home Nursing have opened their arms to me and my family. As well as providing counselling for my husband and daughter, they have introduced and funded 12 Reiki sessions for me whilst I was undergoing daily

chemotherapy and radiotherapy. I believe this has been a key complementary therapy to my treatment. The gentle nature of the treatment was in such stark contrast to the medical treatment, and I found it to be so useful for relaxation and supporting my mental health during that time.

My tumour is currently in remission, but I’m very aware that things can change and I’m not sure what the future holds. I am however reassured that Campden Home Nursing will always provide a hand to hold, a shoulder to cry on and any other support that me and my family may need.

In February 2023, Bev’s friends held another fundraiser at Willersey Village Hall and raised a massive £4,382. We are so grateful to Bev and her friends for all their support.

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9. 2023-2024: Fundraising

Alex O’Donnell Fundraising Manager

Campden Home Nursing had no dedicated fundraiser un�l we employed a Fundraising and Community Engagement Manager in May 2023. Fortunately, we have funds in the bank following receipt of a generous legacy a few years ago, but this money will not last forever. The focus has been iden�fying new ways to generate funds to ensure we are here for another 34 years.

Amongst the revenue ini�a�ves introduced has been promo�ng Gi�s in Wills, a simple, tax-efficient way to support a Charity. Community engagement is vital, so we embarked on crea�ng events that introduced more people to our work, not just those who need us. In October, our Apple Fest celebra�ons linked with Na�onal Apple Day and our neighbours, Wolds End Orchard. Over 150 visitors came to Jecca’s House, many for the first �me. They listened to the outdoor performance of the local band, Boe-Jigge, and ate delicious pork baps and cake.

A few weeks later we held a valua�on day in Chipping Campden Town Hall with auc�on specialists, Chorley’s. It was great fun seeing the items locals brought along for valua�on. We raised vital funds from items sold at the auc�on. Alongside planning and organising events, we sourced some great prizes for our annual Big Christmas Raffle, thanks to the local shops, restaurants, and businesses. We sold 1,588 �ckets and raised over £3,000.

We are always thrilled when individuals, local organisa�ons and businesses fundraise on our behalf. We don’t have the space to thank everyone, but special thanks go to Rita Downs, who opened her beau�ful garden in Shepherd’s Close, raising over £5,350, and the annual Chipping Campden Open Gardens. Fans of the locally filmed Father Brown series held a conven�on in September that raised over £340. The Sixth Form students at Chipping Campden School and Illmington Primary School wore Christmas jumpers to raise money. In February, the community of Willersey organised an evening of music, food and dancing in their Village Hall and raised £4,382. The Round of Gras in Badsey hosted a Bingo night in March and raised over £3,000 and others ran, climbed, cycled, or walked in memory of lost loved ones to support our work.

We are indebted to every charitable trust for their support, the businesses that display our Charity �ns and all those who donate their treasure, �me or talent in recogni�on of our incredible work. Finally, a huge thank you to the team and the volunteers who help to make all this happen.

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10. 2023-2024: Marketing Communications

Marke�ng communica�ons play a pivotal role in suppor�ng our three core services, as well as our fundraising ini�a�ves and events.

In previous years, our communica�ons strategy has focused on growing awareness of the charity’s services within the geographical area we cover. As this is a wide area, which spreads over three coun�es, this has had its challenges. However, since our nursing hours have increased from 1,251 in 2017 to 9,574 in 2023, our marke�ng has been deemed a success to a large degree.

Since the Charity’s decision to fundraise more ac�vely and from May 2023, when our new Fundraising Manager, Alex O’Donnell joined Campden Home Nursing, we have embraced the opportunity to promote fundraising ac�vi�es and ini�a�ves.

Having created a detailed aligned strategic fundraising and communica�ons plan, several channels have been leveraged to spread awareness, engage donors and garner support. Through social media pla�orms, we’ve created a buzz by crea�ng engaging posts, eye-catching visuals and sharing event details and behind-the-scenes glimpses.

Our regular newsle�er, Reaching Out, and marke�ng emails have delivered event invita�ons directly to supporters' inboxes and printed materials such as posters and flyers have served as tangible reminders, strategically placed in high-traffic areas to capture the interest of poten�al a�endees.

By op�mizing and combining our digital pla�orms with more tradi�onal marke�ng tools, we have made a great start to cul�va�ng rela�onships with donors, supporters, pa�ents and their families. It is hoped that the momentum will gather over the coming years.

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11. 2023-2024: Our Charity Shop

Our wonderful shop has had a great year. We are lucky enough to receive fantastic donations so there is something for everyone in the little treasure trove.

This year, the shop team have made sales totalling an amazing £169,932 for the year 2023-24! This means that it has contributed a whopping £99,150 to the Charity a�er expenses.

We have a brilliant team of 20 volunteers who keep the shop running so successfully and our team of staff who are the backbone of the operation.

In 2023-24 we welcomed a new supervisor to the shop supervisor team, who has done a great job in getting the Charity Shop a presence on social media. Please follow us on Instagram or Facebook for a peek at what you can find in the shop!

We are also so grateful for our eBay volunteer for selling some of our items on eBay. eBay sales raised over £3,000 in the year 2023-24. Our shop team are constantly finding new avenues to sell unusual and bespoke items, such as rare books and antiques, to get the best out of our donations.

Marion Ward, Shop Manager with Chris Tombs, Volunteer

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12. 2023-2024: Our Charity Shop in Numbers

Key Figures from 2023-2024

32,285 units were sold across 17,070 transac�ons.
quality stock received.
£99,150 was the contribu�on to income.

----- Start of picture text -----
2023-24 Income and Expenditure Comparison
35,000
£180,000
30,000 £160,000
£140,000
25,000
£120,000
20,000
£100,000
15,000 £80,000
£60,000
10,000
£40,000
5,000
£20,000
0 £0
No of items sold No of items sold Sales Expenses Profit
(2022-23) (2023-24)
2022-23 2023-24
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Shop Contribution to Income

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Shop
Contribution
20%
Other
Income 80%
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13. Moving Forward

Following another year of growth, we have entered the next financial year intent on providing the same quality service that we always have. Our feedback has been exemplary over the last 12 months due to our committed, diligent and compassionate team that makes up Campden Home Nursing, both nursing and staff teams.

Our Services

We continue to review the development and delivery of all our services, considering the ever-changing external environment and the difficulty experienced by most charities with their fundraising endeavours in these leaner times. Our Hospice Care at Home service will always be our core service and focus will be on keeping it within the local communities we serve.

We will continue to engage with the Integrated Care Boards for Gloucestershire and Worcestershire to campaign for more funding for end of life care, other external organisations that can assist our patients in their journeys and we will continue to work closely with neighbouring hospice organisations to share issues and solutions.

Financially, our investments performed slightly better than we had predicted last year, and we receive quarterly investment reports from both our investment houses to monitor their position and progress in maintaining capital value and providing investment income.

All funds are invested at a medium risk for long term viability. At the beginning of this financial year, we have reviewed and lowered our reserve policy in order to apply for more grant funding moving forward.

Our Charity Shop

Our Charity Shop continues to perform well beyond our expectation or national averages. Last year was our best ever year for takings and donations. Our volunteer team headed by the two wonderful managers does an outstanding job.

More Care for More People

Despite healthy reserves our main focus is on fundraising and trying to raise awareness of the Charity to ensure our sustainability going forward. The deficit each year needs to be reduced so that we can continue providing for another 34 years.

Above all, we will look after and invest in our people to maintain a happy team that are joined in their desire to provide ‘more care to more people’.

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14.Financial Headlines

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%
Income 2023-2024 2022-2023
difference
NHS Covid Funding via Hospice UK £0 £2,826 ↓ 100%
CCG - continuing healthcare £27,495 £34,210 ↓ 20%
Donations and Legacies £84,021 £62,751 ↑ 34%
Investment Income £174,697 £154,050 ↑ 13%
Other Grants £14,426 £1,215,822 ↓ 99%
Trading Income £169,932 £139,691 ↑ 22%
Other Fundraising £34,432 £25,340 ↑ 36%
Total Income £505,003 £1,634,690 ↓ 69%
%
Expenditure 2023-2024 2022-2023
difference
Fundraising Trading £78,188 £67,961 ↑ 15%
Home Nursing Care Direct Staff Costs £667,978 £476,649 ↑ 40%
Home Nursing Care Other Direct Costs £24,831 £27,143 ↓ 9%
Counselling, Complimentary Therapies and
£16,071 £17,777 ↓ 10%
other nursing costs
Support Staff Costs £223,169 £168,555 ↑ 32%
Support Other Costs £72,136 £29,862 ↑ 142%
Investment Management Costs £15,611 £42,138 ↓ 63%
Total Expenditure £1,097,984 £830,085 ↑ 32%
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Income 2023-2024 Expenditure 2023-2024
Other Home Nursing Care Counselling,
Fundraising, Other Direct … Complimentary
6.8% Therapies and
other nursing
Income, Trading CCG - continuing costs, 1.5%
33.6% healthcare, 5.4%
Support Staff
Costs, 20.3%
Donations
and
Legacies,
16.6%
Home Support
Nursing Other
Care Direct Costs,
Other Grants, Staff Costs, 6.6%
2.9% 60.8% Investment
Management
Costs, 1.4%
Investment Fundraising
Income, Trading, 7.1%
34.6%
----- End of picture text -----

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15. Financial Statements: Year Ended 31 March 2024

Campden Home Nursing CIO Charity No: 1178423

Contents

	Page
2023-2024: Governance: Reference and Administrative Details of the Charity, 1
its Trustees and Advisors
2023-2024: Trustees’ Report	2
2023-2024: Statement of Trustees Responsibilities	8
2023-2024: Independent Auditor’s Report	9
2023-2024: Statement of Financial Activities	13
2023-2024: Balance Sheet	14
2023-2024: Cashflow Statement	15
2023-2024: Notes to the Financial Statements	16
Finally…	30

2023-2024: Governance

Reference and Administrative Details of the Charity, its Trustees and Advisors for the year ended 31 March 2024

Trustees

Dr I Henry (Co-Chair) Mrs. S E Roberts (Co-Chair) Dr A Petros Dr M Degnan (until 6[th] March 2024) Dr Manuel Villarreal (from 6[th] March 2024) Mrs. E Milnes-James Mr. E Wiggans Mrs. V.J. Fenwick Ms. L Piper Mr Anthony Lishman (from 6[th] March 2024)

Chief Executive Officer

Helen Makaritis

Senior Leadership Team

Helen Makaritis Heather Barley Anna Bennett Sarah Moss

Charity Registered Number

1178423

Principal Office

Jecca’s House, Aston Road, Chipping Campden, Gloucestershire, GL55 6HR

Independent Auditor

Byrd Link Audit and Accountancy Services Limited, Honeybourne Place, Jessop Avenue, Cheltenham GL50 3SH

Bankers

Lloyds Bank Plc, Uttoxeter ST14 8HD

Investment Advisors

Quilter Cheviot, Two Snowhill, Snow Hill Queensway, Birmingham, B4 6GA

Investment Advisors

Rathbone Brothers Plc, 8 Finsbury Circus, London, EC2M 7AZ

2023-2024: Trustees’ Report

Introduction

The Trustees present their report of Campden Home Nursing CIO (Campden Home Nursing) for the year ended 31 March 2024. In presenting this report, the Trustees have complied with the Charities Statement of Recommended Practice (Financial Reporting Standard 102) (the “Charities SORP FRS 102”).

Reference and Administrative Information

The Trustees of the Charity are listed on page 1. Principal places of business and professional advisors of the Charity are given on page 1.

Objectives

The mission of the Charity is primarily to provide Hospice at Home nursing care, without charge, to terminally ill patients within a defined geographic area which as a guideline is a 12-mile radius of Chipping Campden, Gloucestershire.

The formal objectives of the Charity are to apply the capital and income of the Charity for the relief of sickness by the provision of:

Home nursing care for persons suffering from terminal illness as defined by the Department of Health and Social Care (or the government department which is the successor to the Department of Health).
Home nursing care where hospital admission would normally be required but is unavailable or refused by the patient; and

 Casual home nursing services where the Trustees in their absolute discretion deem it necessary. All services are offered free of charge to the patient and their families. The aim is to relieve suffering and provide comfort and support for patients who wish to be at home during their last days and weeks so that they may be surrounded by their families and loved ones. Campden Home Nursing attends meetings at doctors’ surgeries on a regular basis to ensure that we are aware of the times when our services might be needed, so that we can visit families in a timely manner, creating relationships for the nursing care to be easy and supportive for the patient and families.

Public Benefit

The Trustees have regard to the Charity Commissioners’ guidance on public benefit and the activities carried out are consistent with the requirements. The Charity provides psychological support to patients through the Serious Illness Support Centre from diagnosis through to remission or to end of life through the Hospice Care at Home nursing team. Both the Hospice at Home and the Serious Illness Support team aim to relieve the suffering of patients at the end of life and to provide comfort and support to those patients, their families, and friends. After the loss of a loved one further support is offered through the Bereavement Counselling Team.

2023-2024: Trustee’s Report (con�nued)

Fundraising Standards

A dedicated Fundraising Manager joined the Charity in May 2023, with a focus of ensuring the sustainability of the Charity, developing new income streams, and introducing new events which are critical for building awareness of the Charity and for income generation.

Internal communications are key, and we make sure that our staff see all the comments we receive from families and supporters.

Campden Home Nursing is a member of the Fundraising Regulator, and we abide by their Fundraising Code of Practice which covers various aspects of fundraising. We carefully protect our supporter data and have systems in place to ensure that our supporters can choose how they would like to be contacted and with what types of communication, in compliance with the General Data Protection Regulations.

We have a complaints policy that is adhered to for all complaints received and any issue is escalated to the CEO. We have established internal standards to guide how often we contact supporters and provide clear and simple ways for them to opt out of future communications. During the financial year ending 31st March 2024 we had 0 complaints.

Under the provisions of Sec�on 13 of the Chari�es (Protec�on and Social Investment) Act 2016, Campden Home Nursing does not employ external fundraising agencies and works within the Fundraising code to ensure that vulnerable people are protected within all fundraising ac�vi�es.

Structure, Governance and Management Organisational Structure

Until 23 October 2018 the Charity operated under a Deed of Trust executed in 1991, as amended on 20 May 2009 and registered with the Charity Commission, as charity number 1007840. On 23 October 2018, the Trustees transferred the assets and liabilities of the Trust to Campden Home Nursing CIO, a Charitable Incorporated Organisation, registered with the Charity Commission, as charity number 1178423. The Charitable Trust remains in existence for receipt of income and other purposes, but the operational charitable activities are now performed by the Charitable Incorporated Organisation, both are linked at the Charity Commission and therefore are one legal entity.

The governing body is the Board of Trustees, who are listed on page 1. Trustees serve for a 3-year term which may be renewed up to two times (maximum 9 years). The Board of Trustees are entitled to appoint additional Trustees, and a skills matrix has been established by the Trustees which identifies skill and/or experience gaps or shortages, which lead to recommendations and potential appointment of new Trustees. Any potential new Trustee will be recommended to the Board of Trustees and is required to be appointed by a unanimous vote. We ensure that we always have one doctor from Chipping Campden Surgery as a Trustee.

2023-2024: Trustee’s Report (con�nued)

The Trustee Board aim to meet around 6 times a year and are responsible for approving strategy and policy for the Charity as well as approval of the annual budget. The Trustees approve staff appointments, and expenditure which is not within set budgets, or which is above approved spending limits. The day-to-day management of the Charity is delegated by the Board of Trustees to the CEO, Helen Makaritis, who is responsible for running the Charity and its services with the support of the Head of Nursing, Finance Manager and HR Manager.

Income and Expenditure

We are very grateful to our supporters in what has been a challenging year. Whilst we continue to receive income from invested funds, our non-investment income sources continue to be very important. These include:

Gifts, legacies, contributions from patients, their relatives and friends, and other supporters
Donations
Fundraising in-house by our Fundraising Team
Fund-raising by well-wishers, local groups, and dedicated fund-raisers
Trading surplus from the Charity Shop
Grants

Across all these activities, the production of income for the Charity runs alongside the raising of the Charity’s profile in the community we serve. This profile is important to ensure that as many people as possible who need our help ask for it.

In January 2023 we received a grant of £1,200,000 from The George Davies Charitable Trust towards expansion of our Play Therapy provision. This grant is restricted to Play Therapy and associated costs only. It has enabled us to employ a Play Therapist for 30 hours per week, and to extend the provision of children’s bereavement therapy across the North Cotswolds. The grant is to be received in 10 instalments of £120,000 each over a 10-year period. In line with the Statement of Recommended Practice (SORP), we have recognised the entirety of the grant in January 2023. The first instalment was received in the 2022-23 financial statements, and the balance of £960,000 is shown as a debtor on 31 March 2024.

Restricted grant income such as this enables us to expand specific streams of charitable activity. However, we are still in need of unrestricted funds to assist in closing the gap on our annual budget deficit. In 2023 we took the decision to employ a dedicated Fundraising Manager who started work in May 2023, with a view to increasing our unrestricted funding to support the Charity going forward.

With the arrival of a Fundraising Manager, our fundraising income stream has strengthened, demonstrating the benefits of our investment in this new role. In addition to this, our Charity Shop income has gone from strength to strength as sales and surplus funds are contributing significantly to the income of the Charity.

2023-2024: Trustees’ Report (con�nued)

We receive donations from the public, patients and their families. As our nursing care and services have increased, income from these donation sources has also increased and reflects the appreciation of the service and care provided.

As the level of nursing care and other services provided has increased, expenditure has increased accordingly, both due to levels of activity and the increased cost of living.

Plans for future periods

We have seen a significant 18% increase in our Hospice Care at Home hours, as well as an 8% increase in Serious Illness Support contacts and a 17% increase in Bereavement support contacts. Our Play Therapy service was further developed in 2023 with the employment of a Play Therapy practitioner.

However, the increase in our provision leads to an increase in cost. In 2023-24, total expenditure exceeded non-investment income by £767,678 (2022/2023: non-investment income exceeded expenditure by £650,555, which included a £1.2m 10-year grant from The George Davies Charitable Trust). Currently, most of our deficit is covered by drawing down on our invested capital, but forecasts show that if we continue to do so, the Charity will not be able to continue operating beyond 7 years.

Our focus for the future is to increase our non-investment income, by developing fundraising, individual giving and legacies and furthering our community engagement, so that we can continue to provide care for the next generation.

Investment Policy and Performance

Investments are held for the purpose of generating funds for charitable activities and as a safeguard against any future shortfall in income. The Trustees investment objective is to maximise income while preserving capital. The investment strategy, reviewed periodically by the Trustees taking the advice of the Investment Advisers, is to hold investments for the long-term, with a medium tolerance of risk, rather than to seek to generate returns through trading activities.

Our strategy is to maintain a balanced and diversified portfolio. The portfolio is managed on a discretionary basis by our two Investment Advisors, Quilter Cheviot and Rathbones, with the aim of increasing our total return, i.e., the total of both income receivable and capital growth. Since November 2022, the funds held with Quilter Cheviot have been held in their Charity Authorised Investment Fund, which benefits from economies of scale, and we have since seen an increase in the total returns on investments compared to our previous portfolio.

Rathbones (Greenbank) provides sustainable investment as standard, and they have a deep understanding of ethical and sustainability issues. They consider the risks and opportunities that environmental, social and governance issues present, looking beyond the financial aspects to examine how the investments made will impact society and the environment, and regularly feed this information back to the Charity.

2023-2024: Trustees’ Report (con�nued)

With much uncertainty about the risk of a recession throughout and how high inflation rates would peak, our investment managers have remained carefully cautious with their long-term investment strategies. In consultation with our Investment Advisors, the Trustees decided that in the context of the long-term nature of the investment strategy, it was not appropriate to make short-term reactive changes to the portfolio. However, we expect investment income to remain lower than previous years while the uncertainty and volatility in the world continues. An annual review was held with each company in April 2024 and the Trustees were satisfied that the performance of both portfolios was in line with market rates and with the investment objectives of the Charity.

Previously, our objective has been to maintain investment capital levels and use any additional capital growth and income for the provision of services as far as possible. However, our deficit has increased, and we are drawing down on invested funds to cover the cost of running the Charity, which in turn is causing our invested capital to decrease. We expect this to cause a reduction in both capital growth and dividend income in the year ahead.

Reserves Policy

The Charity is now well established with a 34-year history and respected for the quality of its services to the local community. The very generous legacy given to the Charity in 2017 changed the landscape of the Charity and it is the CEO and Trustees’ duty to assure not only continuation and expansion of the core palliative Hospice at Home nursing service which we have been providing for many years, but also to carefully consider opportunities to extend the service we provide consistent with the objectives of the Charity. Such opportunities are being properly researched and assessed, and the Trustees have determined an appropriate reserves policy in that respect.

In assessing the reserves posi�on annually, the Trustees note the following:

Costs of nursing, par�cularly salaries, due to levels of ac�vity and pension provision and the split between fixed permanent contracted roles and zero-hours part-�me contracted roles to ensure nursing needs are met.
• Overhead and administra�on costs as the level and number of services expand. • Costs associated with fulfilling Charity Commission and Care Quality Commission requirements.
• Vola�lity in investment values and yields, par�cularly relevant following the world events including the pandemic and the war due to the invasion of Ukraine.
• Poten�al vola�lity in pa�ent and staffing numbers due to impact of Covid-19 on the country, on the NHS, and the poten�al long-term presence of the disease.
• Difficulty in fundraising with costs of living increasing.

The Charity aims to hold enough current, unrestricted reserves to fund the charitable activities for at least 2 years at the current rate of expenditure. This is our operating reserve which currently stands at £2.1m for a 2-year period.

On 31 March 2024, the reserves of the Charity were £8,252,378 (2023: £8,507,883), of which £1,125,690 (2023: £1,193,219) are restricted reserves, including gains on investments of £337,476 (2023: loss of £522,366). These reserves meet the requirements of the Charity’s reserve policy.

2023-2024: Trustees’ Report (con�nued)

Risk Management

The Trustees confirm that they have identified and reviewed the major risks to which the charity is exposed and have established systems and controls to mitigate those risks. Organisational risks are reviewed annually or more frequently if required. An updated Risk Register has been created since moving into Jecca’s House and is reviewed formally at a Trustees’ meeting once a year.

Principal risks that have been identified include adverse investment conditions due to current economic uncertainty. Performance is reviewed periodically (see Investment Policy and Performance) and is closely managed by our Investment Advisors. Risks that we see increasing are those linked to our decreasing reserves and difficulties raising funds, which has prompted our strategy to increase both fundraising and community engagement.

2023-2024: Statement of Trustees’ Responsibili�es

The Trustees are responsible for preparing the Trustees’ Annual Report and the financial statements in accordance with applicable law and United Kingdom Generally Accepted Accounting Practice (United Kingdom Accounting Standards).

The law applicable to charities in England and Wales requires the Trustees to prepare financial statements for each financial year which give a true and fair view of the state of affairs of the Charity and of the incoming resources and application of resources of the Charity for that period. In preparing these financial statements, the Trustees are required to:

Select suitable accounting policies and then apply them consistently.
Observe the methods and principles in the Charities SORP.
Make judgements and estimates that are reasonable, and prudent.
State whether applicable accounting standards have been followed, subject to any material departures disclosed and explained in the financial statements.
Prepare the financial statements on the going concern basis unless it is inappropriate to presume that the Charity will continue in business.

The Trustees are responsible for keeping adequate accounting records that are sufficient to show and explain the Charity’s transactions, disclose with reasonable accuracy at any time the financial position of the Charity and enable them to ensure that the financial statements comply with the Charities Act 2011, the Charities (Accounts and Reports) Regulations 2008 and the provisions of the Charity’s Constitution. They are also responsible for safeguarding the assets of the Charity and hence for taking reasonable steps for the prevention and detection of fraud and other irregularities.

Statement as to Disclosure of Information to Auditors

So far as the Trustees are aware, there is no relevant audit information of which the Charity’s auditors are unaware and each Trustee has taken all the steps that he or she ought to have taken as a Trustee in order to make himself or herself aware of any relevant audit information and to establish that the Charity’s auditors are aware of that information.

By order of the Trustees

Sarah Roberts Dr Irene Henry

Treasurer Trustee, Co-Chair Co-Chair of Trustees

Date signed: 17[th] July 2024

2023-2024: Independent Auditor’s Report

Opinion

We have audited the financial statements of Campden Home Nursing CIO (the ‘Charity’) for the year ended 31 March 2024 which comprise Statement of Financial Activities, Balance Sheet, Cashflow Statement and notes to the financial statements, including significant accounting policies. The financial reporting framework that has been applied in their preparation is applicable law and United Kingdom Accounting Standards, including Financial Reporting Standard 102 The Financial Reporting Standard applicable in the UK and Republic of Ireland (United Kingdom Generally Accepted Accounting Practice).

In our opinion the financial statements:

give a true and fair view of the state of the Charity’s affairs as at 31 March 2024, and of its incoming resources and application of resources, including its income and expenditure, for the year then ended;
have been properly prepared in accordance with United Kingdom Generally Accepted Accounting Practice; and
have been prepared in accordance with the requirements of the Charities Act 2011.

Basis for opinion

We conducted our audit in accordance with International Standards on Auditing (UK) (ISAs (UK)) and applicable law. Our responsibilities under those standards are further described in the Auditor’s responsibilities for the audit of the financial statements section of our report. We are independent of the Charity in accordance with the ethical requirements that are relevant to our audit of the financial statements in the UK, including the FRC’s Ethical Standard, and we have fulfilled our other ethical responsibilities in accordance with these requirements. We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Conclusions relating to going concern

In auditing the financial statements, we have concluded that the Trustees’ use of the going concern basis of accounting in the preparation of the financial statements is appropriate.

Based on the work we have performed, we have not identified any material uncertainties relating to events or conditions that, individually or collectively, may cast significant doubt on the Charity's ability to continue as a going concern for a period of at least twelve months from when the financial statements are authorised for issue.

Our responsibilities and the responsibilities of the Trustees with respect to going concern are described in the relevant sections of this report.

Other information

The other information comprises the information included in the Trustees’ annual report, other than the financial statements and our Auditor’s Report thereon. The Trustees are responsible for the other information contained within the annual report. Our opinion on the financial statements does not cover the other information and, except to the extent otherwise explicitly stated in our report, we do not express any form of assurance conclusion thereon.

2023-2024: Independent Auditor’s Report (continued)

Our responsibility is to read the other information and, in doing so, consider whether the other information is materially inconsistent with the financial statements, or our knowledge obtained in the course of the audit or otherwise appears to be materially misstated. If we identify such material inconsistencies or apparent material misstatements, we are required to determine whether this gives rise to a material misstatement in the financial statements themselves. If, based on the work we have performed, we conclude that there is a material misstatement of this other information, we are required to report that fact.

We have nothing to report in this regard.

Matters on which we are required to report by exception

We have nothing to report in respect of the following matters in relation to which the Charities (Accounts and Reports) Regulations 2008 require us to report to you if, in our opinion:

the information given in the financial statements is inconsistent in any material respect with the Trustees’ report; or
the Charity has not kept adequate accounting records; or
the financial statements are not in agreement with the accounting records and returns; or
we have not received all the information and explanations we require for our audit.

Responsibilities of Trustees

As explained more fully in the Trustees’ Responsibilities Statement set out on page 8, the Trustees are responsible for the preparation of the financial statements and for being satisfied that they give a true and fair view, and for such internal control as the Trustees determine is necessary to enable the preparation of financial statements that are free from material misstatement, whether due to fraud or error.

In preparing the financial statements, the Trustees are responsible for assessing the Charity’s ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the Trustees either intend to liquidate the Charity or to cease operations, or have no realistic alternative but to do so.

Auditor responsibilities for the audit of the financial statements

We have been appointed as Auditor under section 144 of the Charities Act 2011 and report in accordance with regulations made under section 154 of that Act.

Our objectives are to obtain reasonable assurance about whether the financial statements as a whole are free from material misstatement, whether due to fraud or error, and to issue an Auditor’s Report that includes our opinion. Reasonable assurance is a high level of assurance but is not a guarantee that an audit conducted in accordance with ISAs (UK) will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of these financial statements.

2023-2024: Independent Auditor’s Report (continued)

Irregularities, including fraud, are instances of non-compliance with laws and regulations. We design procedures in line with our responsibilities, outlined above, to detect material misstatements in respect of irregularities, including fraud. The extent to which our procedures are capable of detecting irregularities, including fraud is detailed below.

We identified and assessed the risks of material misstatement of the financial statements from irregularities, whether due to fraud or error, at the audit planning stage and discussed these between the audit engagement team. Discussions with management and those charged with governance around laws, regulations and compliance were also undertaken at the audit planning stage. We then designed and performed audit procedures in response to these identified risks. Such audit procedures include obtaining sufficient, appropriate audit evidence to provide a basis for our audit opinion.

We obtained an understanding of the legal and regulatory frameworks within which the Charity operates, focusing on key laws and regulations which have a direct effect on the determination of material amounts and disclosures within the financial statements. We considered the Charities Act 2011, Charities SORP (FRS 102), HM Revenue & Customs and Care Quality Commission (CQC) regulations to be such key laws and regulations. We have assessed the impact of any breaches in these laws and regulations and considered whether any such findings have a material impact on the financial statements.

We also considered the systems and controls in place and the opportunities and incentives that may exist within the Charity for fraud or manipulation of these financial statements. We identified the key risks on the financial statements in relation to fraud were management override of controls and income recognition. The audit procedures designed to respond to these risks included sample testing on journals and review of key accounting estimates, discussion with management, reviewing regulatory correspondence, legal expenditure, and Trustee meeting minutes along with sample testing on income streams.

Our audit procedures, together with our assessment of risks identified at planning, were transparent to the Charity and have been communicated to the Trustees throughout the audit as well as within the audit engagement team.

2023-2024: Independent Auditor’s Report (continued)

Because of the inherent limitations of an audit, and the fact that audit procedures, whilst planned and performed in line with audit standards, test a sample of financial transactions, there is an unavoidable risk that we will not detect all irregularities, including those leading to a material misstatement in the financial statements, or non-compliance with regulation. This risk increases the more that compliance with a law or regulation is removed from the events and transactions reflected in the financial statements, as we will be less likely to become aware of instances of noncompliance. The risk is also greater regarding irregularities occurring due to fraud rather than error, as fraud involves intentional concealment, forgery, collusion, omission, misrepresentation, or the override of internal controls. Ultimately, it is the responsibility of the Trustees for the prevention and detection of fraud and non-compliance.

A further description of our responsibilities is available on the FRC's website at: https://www.frc.org.uk/auditors/audit-assurance/auditor-s-responsibilities-for-the-audit-of-thefi/description-of-the-auditor%E2%80%99s-responsibilities-for.This description forms part of our Auditor’s Report.

Use of our report

This report is made solely to the Charity’s Trustees, as a body, in accordance with Part 4 of the Charities (Accounts and Reports) Regulations 2008. Our audit work has been undertaken so that we might state to the Charity’s Trustees those matters we are required to state to them in an Auditor’s Report and for no other purpose. To the fullest extent permitted by law, we do not accept or assume responsibility to anyone other than the Charity and the Charity’s Trustees as a body, for our audit work, for this report, or for the opinions we have formed.

Byrd Link Audit & Accountancy Services Limited (Statutory Auditor)

Honeybourne Place Jessop Avenue Cheltenham GL50 3SH

Date: 26 July 2024

Byrd Link Audit & Accountancy Services Limited is eligible to act as an Auditor in terms of section 1212 of the Companies Act 2006.

2023-2024: Statement of Financial Ac�vi�es

Unrestricted Funds 2024 £ 84,021 204,364 174,697 - - 463,082 78,188 894,735 15,611 988,534 (525,452) 337,476 - (187,976) 7,314,664	Restricted Funds 2024 £ - - - 14,426 27,495 41,921 - 109,450 - 109,450 (67,529) - - (67,529) 1,193,219	Total Funds 2024 £ 84,021 204,364 174,697 14,426 27,495 505,003 78,188 1,004,185 15,611 1,097,984 (592,981) 337,476 - (255,505) 8,507,883	Total Funds 2023 £ 62,751 165,031 154,050 1,218,648 34,210
			1,634,690
			67,961 719,986 42,138
			830,085
			804,605 (552,366) -
			252,239 8,255,644
7,126,688	1,125,690	8,252,378	8,507,883

2023-2024: Balance Sheet

1,002,985 271,393	2024 £ 1,465,304 5,544,857	1,118,382 243,795	2023 £ 1,475,671 5,703,705
	7,010,161 1,242,217		7,179,376 1,328,507
1,274,378 (32,161)		1,362,177 (33,670)

	8,252,378		8,507,883
	1,125,690 7,126,688		1,193,219 7,314,664
	8,252,378		8,507,883

The financial statements were approved and authorised for issue by the Trustees on 17[th] July 2024 and signed on their behalf, by:

Sarah Roberts Treasurer, Co-Chair of Trustees

Note Cashflows from operating activities:(See below) Net Cash used within operating activities: 19 Cash flows from Investing Activities: Dividends and interest from investments 4 Purchase of property, plant & equipment 14 Disposal of property, plant & equipment 14 Proceeds from sale of investments 15 Purchase of investments 15 Movement in investments held as cash 15 Net cash provided by investing activities Cash flow from financing activity Cash inflow from new borrowing Net cash provided by financing activities Change in cash and cash equivalents for the year Cash and cash equivalents bought forward Cash and cash equivalents carried forward	2024 £ (635,063) 174,697 0 (8,359) 1,027,388 (681,874) 150,810 *662,662* - - 27,599 243,795 271,394	2023 (380,645) 154,050 (25,340) 0 4,010,788 (3,774,780) 116,914
		481,632 -
		- 100,987 142,807 243,794

2023-2024: Notes to the Financial Statements

Accounting Policies

Campden Area Home Nursing Trust was a Charity registered with The Charities Commission England and Wales (charity number: 1007840). On 23 October 2018, the trade and assets were transferred to the new entity Campden Home Nursing CIO (Charity number: 1178423). The address of its registered office is Jecca’s House, Aston Road, Chipping Campden, Gloucestershire, GL55 6HR.

1.1 Basis of Preparation of Financial Statements

The financial statements have been prepared in accordance with the Charities SORP (FRS 102) -

Accounting and Reporting by Charities: Statement of Recommended Practice applicable to charities preparing their accounts in accordance with the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) (effective 1 January 2019), the Financial Reporting Standard applicable in the UK and Republic of Ireland (FRS 102) and the Charities Act 2011. Campden Home Nursing CIO constitutes a public benefit entity as defined by FRS 102. Assets and liabilities are initially recognized at historical cost or transactional value unless otherwise stated in the relevant accounting policy.

1.2 Going Concern

The Charity has cash resources to fund their normal operating activities. Following a review of the financial position, the reserves levels and future plans, the Charity is engaging in further fundraising activity in order to ensure a sustainable future and maintain investment asset levels. The Trustees believe the going concern basis of accounting is appropriate in preparing the annual financial statements.

1.3 Income

All income is recognised once the Charity has entitlement to the income, it is probable that the income will be received, and the amount of income receivable can be measured reliably.

For legacies, entitlement is taken as the earlier of the date on which either: the Charity is aware that probate has been granted, the estate has been finalised and notification has been made by the executor(s) to the Charity that a distribution will be made, or when a distribution is received from the estate. Receipt of a legacy, in whole or in part, is only considered probable when the amount can be measured reliably, and the Charity has been notified of the executor's intention to make a distribution. Where legacies have been notified to the Charity, or the Charity is aware of the granting of probate, and the criteria for income recognition have not been met, then the legacy is treated as a contingent asset and disclosed if material.

Income from other trading activities includes income earned from the running of the Charity Shop and income from fundraising events. Income tax recoverable in relation to donations received under Gift Aid is recognised at the time of the donation.

1.4 Expenditure

Expenditure is accounted for on an accruals basis. Expenditure is classified by activity. The costs of each activity are made up of the total of direct costs and shared costs, including support costs involved in undertaking each activity. Direct costs attributable to a single activity are allocated directly to that activity.

Fundraising costs are those incurred in seeking voluntary contributions, investment manager's fees and costs associated with running the Charity Shop. Governance costs include those incurred in the governance of the Charity and its assets and are primarily associated with constitutional and statutory requirements and are included within support costs. All expenditure is inclusive of irrecoverable VAT.

1.5 Government Grants

Government grants relating to tangible fixed assets are treated as deferred income and released to the Statement of financial activities over the expected useful lives of the assets concerned. Other grants are credited to the Statement of Financial Activities as the related expenditure is incurred.

1.6 Tangible Fixed Assets and Depreciation

All assets costing more than £1,000 are capitalised.

Tangible fixed assets are carried at cost, net of depreciation and any provision for impairment. Depreciation is provided at rates calculated to write off the cost of fixed assets, less their estimated residual value, over their expected useful lives on the following bases:

Buildings - 1% Straight Line Landscaping/Car Park - 4% Straight Line Office equipment - 33% Straight Line Computer equipment - 33% Straight Line

1.7 Investments

Fixed asset investments are a form of financial instrument and are initially recognised at their transaction cost and subsequently measured at fair value at the Balance sheet date. Investment gains and losses are combined and shown in the heading ‘Net gains/(losses) on investments’ in the Statement of Financial Activities.

2023-2024: Notes to the Financial Statements (con�nued)

1.8 Investment Income Interest on funds held on deposit is included when receivable and the amount can be measured reliably by the Charity; this is normally upon notification of the interest paid or payable by the bank.

Dividends are accounted for when received or declared and receivable.

1.9 Operating Leases

Rentals under operating leases are charged to the Statement of Financial Activities on a straight-line basis over the lease term.

1.10 Debtors

Other debtors and accrued income are recognised at the settlement amount. Prepayments are valued at the amount prepaid net of any trade discounts due.

1.11 Cash at Bank and in Hand

Cash at bank and in hand includes cash and short term highly liquid investments with a short maturity of three months or less from the date of acquisition or opening of the deposit or similar account.

1.12 Creditors

Creditors are recognised when there is an obligation at the Balance Sheet date as a result of a past event, it is probable that a transfer of economic benefit will be required in settlement, and the amount of the settlement can be estimated reliably. Creditors are recognised at the amount that the Charity anticipates it will pay to settle the debt.

1.13 Financial Instruments

The Charity only has financial assets and financial liabilities of a kind that qualify as basic financial instruments. Basic financial instruments are initially recognised at transaction value and subsequently measured at their settlement value.

1.14 Taxation

As a recognised charity, the Charity is exempt from corporation tax so far as it relates to its charitable activities.

1.15 Pensions

The Charity operates a defined contribution pension scheme, and the pension charge represents the amounts payable by the Charity to the fund in respect of the year.

1.16 Fund Accounting

General funds are unrestricted funds which are available for use at the discretion of the Trustees in furtherance of the general objectives of the Charity and which have not been designated for other purposes.

1.17 Critical accounting estimates and areas of judgment

Preparation of the financial statements requires management to make judgements and estimates.

The Trustees consider that there are no material judgements in applying accounting policies or key sources of estimation uncertainty.

1.18 Volunteers

The value of services provided by volunteers has not been included in the financial statements in line with SORP (FRS 102). The role of volunteers is detailed in the Trustees' Report.

2023-2024: Notes to the Financial Statements (con�nued)

2 Income from donations and legacies

Donations Legacies 2023	Unrestricted funds 2024 £ 84,021 - 84,021 62,751	Restricted funds 2024 £ - - - -	Total funds 2024 £ 84,021 - 84,021	Total funds 2023 £ 62,751 -
				*62,751*
				62,751

3 Trading activities

Trading activities
Charity Trading Income Fundraising income Charity Shop income Fundraising trading expenses Fundraising costs Charity Shop materials Charity Shop rent and other costs Charity Shop wages Net income from trading activities 2023	Unrestricted Funds 2024 £ 34,432 169,932 204,364 7,406 1,023 39,387 30,372 78,188 126,176 97,070	Restricted Funds 2024 £ - - - - - - - - - -	Total Funds 2024 £ 34,432 169,932 204,364 7,406 1,023 39,387 30,372 78,188 126,176	Total Funds 2023 £ 25,340 139,691

				165,031
				4,154 974 38,442 24,391
				67,961
				97,070
				97,070

2023-2024: Notes to the Financial Statements (con�nued)

4 Investment income

Dividends Bank interest 2023	Unrestricted Funds 2024 £ 174,105 592 174,697 154,050	Restricted Funds 2024 £ - - - -	Total Funds 2024 £ 174,105 592 174,697	Total Funds 2023 £ 153,866 184
				154,050
				154,050

5 Grant Income

NHSE COVID19 Funding Gloucestershire CC - Carers Grant Funding The Hospital Saturday Fund The George Davies Charitable Trust The Free Hospital Trust Fund The Saintbury Trust John Martin's Charity 2023	Unrestricted Funds 2024 £ - - - - - - - - -	Restricted Funds 2024 £ - 10,000 - - - 2,000 2,426 14,426 1,218,648	Total Funds 2024 £ - 10,000 - - - 2,000 2,426 14,426	Total Funds 2023 £ 2,826 10,000 2,000 1,200,000 3,822 - -
				1,218,648
				1,218,648

2023-2024: Notes to the Financial Statements (con�nued)

6 Other income

Gloucestershire CCG - continuing healthcare Hereford & Worcestershire CCG - continuing healthcare 2023	Unrestricted Funds 2024 £ - - -	Restricted Funds 2024 £ 2,270 25,225 27,495 34,210	Total Funds 2024 £ 2,270 25,225 27,495	Total Funds 2023 £ 8,127 26,083
				34,210
				34,210

7 Analysis of expenditure on charitable activities Summary by fund type

Summary by fund type
Home nursing care 2023 Analysis of expenditure by activities Home nursing care 2023 Analysis of direct costs Staff costs Staff mileage allowance Nurses' training costs Telephone Professional fees Counselling, complimentary therapies and other nursing costs 2023	Unrestricted Funds 2024 £ 894,735 665,161 Direct 2024 £ 708,880 521,569 Unrestricted Funds 2024 £ 589,831 16,169 4,135 155 4,372 6,669 621,331 471,610	Restricted Funds 2024 £ 109,450 54,825 Support 2024 £ 295,305 198,417 Restricted Funds 2024 £ 78,147 - - - - 9,402 87,549 49,959	Total Funds 2024 £ 1,004,185 Total funds 2024 £ 1,004,185 Total Funds 2024 £ 667,978 16,169 4,135 155 4,372 16,071 708,880	Total Funds 2023 £ 719,986
				719,986
				Total funds 2023 £ 719,986
				719,986
				Total Funds 2023 £ 476,649 12,598 3,746 307 10,492 17,777
				521,569
				521,569

2023-2024: Notes to the Financial Statements (con�nued)

7 Analysis of expenditure on charitable activities (continued)

Analysis of support costs

Staff costs Depreciation Travel costs Telephone Insurance Professional fees Stationery and general expenses Rent and office costs Administration Training Auditor's remuneration Marketing and advertising Recruitment Overhead Contribution from Play Therapy 2023	Unrestricted funds 2024 £ 223,169 9,606 117 3,960 7,119 1,050 9,053 16,393 529 482 8,576 14,742 - (21,392) 273,404 193,551	Restricted funds 2024 £ - - - - - - 321 - 42 - - 146 - 21,392 21,901 4,866	Total funds 2024 £ 223,169 9,606 117 3,960 7,119 1,050 9,374 16,393 571 482 8,576 14,888 - - 295,305	Total funds 2023 £ 168,555 9,249 195 3,547 5,746 805 (26,001) 16,768 724 1,133 8,159 9,267 270 -
				198,417
				198,417

Included within the support costs above are governance costs of £6,995 (2023: £6,795), which includes £6,995 (2023: £6,795) for audit and accountancy.

2023-2024: Notes to the Financial Statements (con�nued)

8 Investment management costs

Investment management fees 2023	Unrestricted funds 2024 £ 15,611 42,138	Restricted funds 2024 £ - -	Total funds 2024 £ 15,611	Total funds 2023 £ 42,138
				42,138

9 Net income

This is stated after charging:

This is stated after charging:
	2024	2023
	£	£
Depreciation of tangible fixed assets: owned by the Charity	10,368	10,010
Auditor's remuneration - audit	6,995	6,795
Operating lease rentals	27,000	25,800

2023-2024: Notes to the Financial Statements (con�nued)

10 Staff costs

Wages and salaries (excluding Charity Shop) Social security costs Contribution to defined contribution pen- sion schemes	Unrestricted funds 2024 £ 724,556 58,552 29,891 812,999	Restricted funds 2024 £ 73,172 3,319 1,657 78,147	Total 2024 £ 797,728 61,871 31,548 891,147	Total 2023 £ 580,183 48,580 21,441
				650,204

There were no redundancy or termination payments during the year (2023: £nil)

The average number of persons employed by the Charity during the year was as follows:

	2024	2023
	No.	No.
Nursing	37	31
Administration	9	7
Trading	3	3
	49	41
The full-time equivalent number of persons employed by the Charity during the year was as follows:
	2024	2023
	No.	No.
Nursing	10	8
Administration	5	4
Trading	1	1
	16	13
Number of Employees receiving remuneration in	the year in the following bands:
	2024	2023
	No.	No.
£60,000 - £70,000	1	1
	1	1

Key management personnel include the CEO, Nursing Services Manager, Finance Manager and HR Manager. Key management personnel remuneration of £154,469 (2023: £132,192) was incurred in the year. This includes gross salaries, employer's national insurance and employer's pension contributions.

2023-2024: Notes to the Financial Statements (con�nued)

11 Trustees' remuneration and expenses

Two Trustees were re-imbursed a total of £468 for expenditure incurred during the year. (2023: £nil)

Trustees’ remuneration expenditure incurred by the Charity during the year was as follows:

Staff costs Wages and salaries (excluding Charity Shop) Social security costs	Unrestricted funds 2024 £ 500 - 500	Restricted funds 2024 £ - - 0	Total 2024 £ 500 - 500	Total 2023 £ 4,250 93
				4,343

Trustee remuneration payments were made under the authority of the Charity's Constitution. Refer to Note 23 for details on related parties

2023-2024: Notes to the Financial Statements (con�nued)

12 Statement of funds

Statement of funds - current year

Balance at 1 April 2023 £ Restricted funds Gloucestershire CCG - continuing healthcare - Hereford & Worcestershire CCG - continuing healthcare - Gloucestershire CC - Carers Grant Funding - The George Davies Charitable Trust 1,193,219 The Saintbury Trust - John Martin's Charity - Total Restricted funds 1,193,219 Unrestricted funds General funds 7,314,664 Total Unrestricted funds 7,314,664 Total funds - current year 8,507,883 Statement of funds - prior year Balance at 1 April 2022 £ Restricted funds Restricted funds 7,525 Unrestricted funds General funds 8,248,119 Total funds - prior year 8,255,644	Income £ 2,270 25,225 10,000 - 2,000 2,426 41,921 463,082 463,082 505,003 Income £ 1,252,858 381,832 1,634,690	Expenditure £ (2,270) (25,225) (10,000) (69,955) (2,000) - (109,450) (988,534) (988,534) (1,097,984) Expenditure £ (54,825) (775,260) (830,085)	Gains/ (Losses) £ - - - - - - - 337,476 337,476 337,476 Gains/ (Losses) £ - (552,366) (552,366)	Transfer of Funds £ - - - - - - - - - - Transfer of Funds £ (12,339) 12,339 -	Balance at 31 March 2024 £ - - - 1,123,264 - 2,426
					1,125,690
					7,126,688
					7,126,688
					8,252,378
					Balance at 31 March 2023 £ 1,193,219 7,314,664
					8,507,883

Gloucestershire CCG continuing healthcare funding provided for approved packages of care per contract.
Hereford & Worcestershire CCG continuing healthcare funding provided for approved packages of care per contract.
Gloucestershire County Council Carer's Grant provided for the support of informal carers, working with Gloucestershire Carer's Hub.
The George Davies Charitable Trust to provide funding of £120,000 for 10 years towards expansion of Play Therapy provision
The Saintbury Trust grant provided for costs relating to Living Well Centre costs
John Martin's Charity provided a grant towards Serious Illness Support training costs for provision of nursing in the Evesham area

2023-2024: Notes to the Financial Statements (con�nued)

13 Analysis of net assets between funds

Analysis of net assets between funds - current year Tangible fixed assets Fixed asset investments Current assets Creditors due within one year Analysis of net assets between funds - prior year Tangible fixed assets Fixed asset investments Current assets Creditors due within one year	Unrestricted funds 2024 £ 1,465,304 5,544,857 148,688 (32,161) 7,126,688 Unrestricted funds 2023 £ 1,475,671 5,703,705 168,958 (33,670) 7,314,664	Restricted funds 2024 £ - - 1,125,690 - 1,125,690 Restricted funds 2023 £ - - 1,193,219 - 1,193,219	Total funds 2024 £ 1,465,304 5,544,857 1,274,378 (32,161)
			8,252,378
			Total funds 2023 £ 1,475,671 5,703,705 1,362,177 (33,670)
			8,507,883

2023-2024: Notes to the Financial Statements (con�nued)

14 Tangible fixed assets

Cost At 1 April 2023 Additions Disposals At 31 March 2024 Depreciation At 1 April 2023 Charge for the year Depreciation on disposals At 31 March 2024 Net book value At 31 March 2024 At 31 March 2023	Buildings £ 1,494,764 - - 1,494,764 19,854 9,606 - 29,460 1,465,304 1,474,910	Office equipment £ 1,030 - (1,030) - 1,030 - (1,030) - - -	Computer equipment £ 8,807 - (7,329) 1,478 8,807 - (7,329) 1,478 - -	Shop equipment £ 2,285 - - 2,285 1,523 762 - 2,285 - 762	Total £ 1,506,886 - (8,359)
					1,498,527
					31,214 10,368 (8,359)
					33,223
					1,465,304
					1,475,672

15 Fixed asset investments

Fixed asset investments
Market value At 1 April 2023 Additions Disposals Revaluations Cash movement on funds held for investment At 31 March 2024	Listed Investments £ 5,703,705 681,874 (1,027,388) 337,476 (150,810)
	5,544,857

Of the total value of £5,544,857, £5,533,623 is listed investments and £11,234 is cash and cash equivalents (2023: £5,541,661 listed investments and £162,044 cash and cash equivalents)

2023-2024: Notes to the Financial Statements (con�nued)

16	Debtors
			2024	2023
			£	£
	Due within one year:
	Trade debtors		0		5,424
	Prepayments and accrued income		139,418	133,939
	Tax recoverable		23,567	19,019
	Due later than one year:
	Prepayments and accrued income		840,000	960,000
			1,002,985	*1,118,382*
17	Creditors: Amounts falling due within one year
		2024	2023
		£	£
	Trade creditors	7,934	13,950
	Income In Advance	3,720	-
	Accruals	20,507	19,720
		32,161	*33,670*
18	Financial instruments
				2024		2023
				£		£
	Financial assets measured at fair value through income and expenditure			5,544,857		5,703,705
	Financial assets measured at fair value through income and expenditure			comprise of listed
	investments.

19 Operating activities

Operating activities
	2024	2023
	£	£
Net income for the reporting period	(255,505)	252,239
Adjustments for:
Dividends and interest	(174,697)	(154,050)
(Gains)/Losses on investments	(337,476)	552,366
Depreciation	10,368	10,010
Loss on Disposal of Fixed Assets	8,359	-
Increase/(decrease) in creditors	(1,509)	(23,464)
(Increase)/decrease in debtors	115,397	(1,017,746)
Net cash used in operating activities:	(635,063)	*(380,645)*

2023-2024: Notes to the Financial Statements (con�nued)

20 Pension commitments

Pension commitments
	2024	2023
	£	£
Pension costs payable to the defined contribution pension scheme	31,548	21,441

The Charity operates a defined contributions pension scheme. The assets of the scheme are held separately from those of the Charity in an independently administered fund. £nil contributions were payable to the fund at the balance sheet date (2023: £nil).

21 Operating lease commitments

At 31 March 2024 the Charity had commitments to make future minimum lease payments under non-cancellable operating leases as follows:

Not later than 1 year Later than 1 year and not later than 5 years Later than 5 years	2024 £ 27,000 108,000 135,000 270,000	2023 £ 22,575 - -
		22,575

22 Contingent Liability

As at 31 March 2024, the Charity had discussed the possibility of contributing between 50% and 100% of the cost of repairs (£1,600-£3,200) to the garage at Jecca's House used for the community project 'Men In Sheds'. There is no contractual commitment, and the decision is dependent on the outcome of grant applications. (2023: £nil capital work commitments) .

23 Related party transactions

During the year Sarah Roberts, Treasurer Trustee, was employed under an employment contract to act as line manager for the Finance Manager. Total gross pay £500, Employer's NICs £nil (2023: £4,250, Employer’s NICs £93).

Sarah Roberts claimed £40 for a Trustee leaving gift.

Anthony Lishman claimed £428 in relation to expenses incurred in organising a fundraising event for the charity.

£nil is outstanding at the year-end (2023: £nil)

A son of the CEO, Helen Makaritis, claimed £300 for hours worked at Jecca's House (2023: £nil) A son of the Co-Chair and Treasurer Trustee, Sarah Roberts, was employed under an employment contract to cover the front of house. Total gross pay £2,705, Employer's NICs £45, Employer's Pension £135 (2023: £nil).

£nil is outstanding at the year-end (2023: £nil)

Finally…

their precious �me. We are needed now, more than ever, to provide support – whether this is nursing, counselling, or naviga�ng a family through the challenging path of a life-threatening illness.

To donate or volunteer, please visit www.campdenhomenursig.org or call us on: 01386 840505.

Campden Home Nursing CIO Jecca’s House Aston Road Chipping Campden GL55 6JG

Tel: 01386 840505 Email: info@campdenhomenursing.org www.campdenhomenursing.org

Registered Charity no: 1178423